ALOHA, OR ·
OSHA Injury Report: 0009 - ALOHA OR
Injury · Other recordable case
At a glance
On , an injury at 0009 - ALOHA OR in 15901 SW JENKINS RD, ALOHA, OR 97006 resulted in other recordable case. Employee was tire installer in wholesale Grocer.
Where did this happen?
- Establishment
- 0009 - ALOHA OR
- Parent company
- Costco Wholesale
- Street
- 15901 SW JENKINS RD
- City
- ALOHA
- State
- OR
- ZIP
- 97006
- On-site location
- TIRE SHOP
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
REMOVINF TAPE [REDACTED]
What happened
WAS REMOVINGTAPE WEIGHT HIT HIS KNUCKLE WITH MALLET AND DISLOCATED IT THEN POPPED BACK IN
Injury or illness
Dislocation Hand Left Side
Object or substance involved
Tool Equipment Unclassified
Summary line
Dislocation Hand Left Side Hand Tool Tool Equipment Unclassified
Employee and industry
- Job description
- TIRE INSTALLER
- SOC code
- 49-3093: Tire Repairers and Changers
- NAICS code
- 455211: Wholesale Grocer
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 361
- Hours worked at this establishment (2023 total)
- 534,195
- EIN
- 911223280
- Establishment ID
- 1217105
- Employer case #
- WC608G8001
When (timing detail)
- Date of incident
- Shift started
- 09:00
- Time of incident
- 11:20
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-04
More injuries at 0009 - Aloha or
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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